Pharmacist Job Application Form

1. PERSONAL INFORMATION

Full Name: *

Date of Birth: *

Nationality: *

National ID Number:

NPC Registration No:

Phone Number: *

Email Address: *

Preferred Mode of Contact:

Phone

Email

2. PROFESSIONAL PROFILE

Position Applying For:

Pharmacist

Assistant Pharmacist

Other:

NPC License Status:

Fully Licensed

License in Progress

Not Yet Licensed

Highest Academic Qualification:

Institution Attended:

Year of Graduation:

Professional Experience:

Fresh Graduate

1–2 Years

3–5 Years

5+ Years

3. WORK PREFERENCES

Preferred Type of Pharmacy:

Retail

Wholesale

Hospital

Open to Any

Preferred Work Schedule:

Full-Time

Part-Time

Preferred Work Location(s):

Willing to Relocate?

Yes

No

Expected Monthly Salary (RWF):

From:

To:

Available Start Date:

4. SKILLS & COMPETENCIES

Dispensing and prescription handling

Inventory management

Knowledge of Rwanda FDA regulations

SOP compliance

Customer service & counseling

Stock expiry & reordering control

Wholesale distribution knowledge

Report writing and documentation

Staff supervision / team leadership

Other relevant skills:

5. WORK HISTORY

Previous Employer:

Position Held:

Duration:

Reason for Leaving:

6. REFERENCES (Optional)

Name:

Relationship:

Phone:

7. DECLARATION

I confirm that the information provided in this form is true and complete to the best of my knowledge. I authorize Bendik Pharmacy Consultancy Ltd to contact me regarding employment opportunities and to share my profile with potential employers under strict confidentiality.

Digital Signature (Type your full name): *

Date: *